The present findings suggest that the clinical utility of actigraphy is still suboptimal in older adults treated for chronic primary insomnia and should, hence, be used in this clinical setting with the concurrent use of supplementary assessment methods.

While periodic limb movement disorder (PLMD) in some studies has been linked with a range of negative consequences, others have questioned the validity of the diagnosis. The aim of the present study was to investigate the clinical significance of co-morbid PLMD in terms of daytime impairment in insomnia patients when defined in accordance with the new diagnostic criteria. 64 older adults complaining of insomnia (mean age = 61.9) were included in the study, and assessed with polysomnography, a sleep diary, the Epworth Sleepiness Scale, and a computerized vigilance test. In all, 28 patients had a PLM-index above 15 on at least one polysomnography registration; while the remaining 36 participants served as comparison group (comprising insomniacs patients without co-morbid PLMD). Adjusting for the potential confounding effects of demographics, apnea/hypopneas and symptoms of restless legs syndrome (RLS), we found no significant associations between PLMD and daytime sleepiness (measured with both subjective and objective measures). These findings illustrate that daytime symptoms of insomnia and PLMD may be difficult to distinguish, thus supporting the notion that the clinical significance of PLMD may be questionable.

Instead of targeting charity to countries where the human needs are most precarious, donors tend to direct their helping to victims within their own country. Despite being important for human welfare, the question why it is so has heretofore not been raised scientifically. In this survey study (N = 3849 respondents) a suggested distinction between international and domestic altruism was validated by examining to which extent the 2 concepts showed differing patterns of associations with a range of relevant variables. When controlling for demography, international orientation, trust in people, and less xenophobia predicted international altruism, while patriotism and fear predicted domestic altruism. Research on how national boundaries stem altruism should be intensified and refined.

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